Jalali, Shahram

Jalali, Shahram is an individual health care provider with primary practice located at 15107 Vanowen St , Van Nuys CA 91405-4542. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Jalali, Shahram can be contacted via phone (818) 782-6600.

Contact Information

Primary practice address
15107 Vanowen St Van Nuys CA 91405-4542
Phone: (818) 782-6600
Fax: (818) 904-3774
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A82712 California
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X A82712 California

Profile Details

NPI number 1740239607
LBN Legal business name Jalali, Shahram
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Oct 28th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740239607 NPPES
California Other W19928 CORPORATION PTAN

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